CONNIE BAINE


Address: 703 E Nance St, Mesa, AZ 85203-1027
Phone: 4808332418

CONNIE BAINE (NPI# 1760674691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760674691
Entity Type Individual
Full Name CONNIE BAINE
Credential RDH
Practice Address 703 E Nance St
Mesa
AZ 85203-1027
Practice Telephone 4808332418
Practice Fax Number 4806998682
Mailing Telephone 4808332418
Mailing Fax Number 4806998682
Enumeration Date 2007-08-14
Last Update Date 2007-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist H 1144 AZ Dental Providers

Office Location

Street Address 703 E NANCE ST
City MESA
State AZ
Zip Code 85203-1027

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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568691863 Kathleen Ann Ruffin Dental Hygienist 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 2009-07-08
1811123425 Patricia A Price Dental Hygienist 7536 E Hannibal Cir, Mesa, AZ 85207-4824 2009-06-10
1093967945 Synergy Dental Group, Plc Dental Hygienist 3549 E Brown Rd Ste 104, Mesa, AZ 85213-5508 2008-10-22
1508079591 Mary Mindy Hoffmann Dental Hygienist 1905 E. Mckellips Road, Mesa, AZ 85203 2007-05-07
1417573577 Carlos A Briseno Dental Hygienist 1705 W Main St, Mesa, AZ 85201-6920 2020-06-24
1295399376 Talia Shumway Gubler Dental Hygienist 2158 N Gilbert Rd Ste 123, Mesa, AZ 85203-2111 2019-04-24
1356851489 Jean Marie Brady Dental Hygienist 1705 W Main St, Mesa, AZ 85201-6920 2017-10-03
1821446154 Jonetta Podmanik Dental Hygienist 5835 E Still Cir, Mesa, AZ 85206-3618 2016-05-26
1396192985 Colleen Trombly Dental Hygienist 5835 E Still Cir, Mesa, AZ 85206-3618 2016-05-24
1720394513 Jessica Joy Kenney Dental Hygienist 4355 E University Dr, Suite 103, Mesa, AZ 85205-7000 2010-08-31
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City MESA
Zip Code 85203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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